Predictive Factors of Thyroid Cancer in Geriatric Patients
Journal Title: The Medical Bulletin of Haseki - Year 2020, Vol 58, Issue 4
Abstract
Aim: Although age is not a contraindication for thyroid surgery, decision for surgery should be made carefully in geriatric patients. The aim of this study was to determine the diagnostic value of cytological and ultrasonographic findings in geriatric patients with thyroid pathology. Methods: Records of patients above 65 years, who underwent thyroid surgery in our clinic between 2014 and 2019, were retrospectively analyzed. Demographic data, biopsy findings according to the Bethesda System, ultrasonography findings (nodule size, echogenicity, margin, micro-calcification, elastography values, peripheral halo and its echogenicity) and pathology results were recorded. Results: A total of 295 patients (58 males and 237 females) with the mean age of 69.13 years (range; 65-82) were included in the study. When benign and malignant groups were compared, suspicion of malignancy, presence of irregular margins, micro-calcification, elastography score of above 3, hypo-echogeneicity and hypo-echoic halo were found to be significant predictive factors for malignancy (p<0.001). When ultrasonography parameters were evaluated with regard to the malignancy risk, specificity was found to be 0.92 for micro-calcification, 0.97 for irregular contour and 0.95 for elastography score above 3. Conclusion: The indication for surgery should be supported by ultrasonography and ultrasound elastography findings in patients with atypia/follicular lesion of unknown significance or whose fine needle aspiration biopsy result is non-diagnostic.
Authors and Affiliations
Serhat Tokgöz, Harun Karabacak
Keywords
Related Articles
- EP ID EP688699
- DOI 10.4274/haseki.galenos.2020.6114
- Views 132
- Downloads 0
Is Facet Tropism an Acquired Status or is It Related with Age? MRI Study
Aim: We aimed to reveal the facet joint orientation and tropism and their relationship with age in patients without degenerative spine disease in lumbar magnetic resonance imaging (MRI) examinations. Methods: After obta...
Epidemiology, Diagnosis and Treatment of Acute Septic Arthritis in Haseki Orthopedics and Traumatology Clinic
Aim: Septic arthritis may represent a direct invasion of joint space by various microorganisms. The aim of this study was to determine the epidemiological characteristics of patients with septic arthritis in our clinic a...
Heterotaxy Polysplenia Syndrome Causing Intermittent Vomiting Due to Malrotation of the Duodenum in an Adult
Heterotaxy syndrome (situs ambiguus) is a rare condition in which the internal organs are abnormally arranged in the chest and abdomen. It occurs from an early embryological developmental disturbance with most cases bein...
The Role of Magnetic Resonance Imaging for Evaluation of Pancreatic Lipomatosis After Bariatric Surgery
Aim: To investigate the role of non-contrast magnetic resonance imaging (MRI) and findings of quantitative MRI in the evaluation of pancreatic lipomatosis in patients undergoing bariatric surgery. Methods: Pre-operative...
A Survey Analyzing Reflections of COVID-19 on Patients and Their Relatives
Aim: In this study, we aimed to analyze the level of knowledge about Coronavirus disease-2019 (COVID-19) in patients and their relatives presented to the emergency department. Methods: In this study, a 25-item questionn...